Revenue Cycle Specialist

1 month ago

Milwaukee, United States GI Associates Full time
Job DescriptionJob Description
At GI Associates we believe in striving for the best outcomes for our patients, employees, and community. GI Associates is looking for motivated people to join our growing independent gastroenterology practice. Our nationally recognized physicians and dedicated team are patient-focused and provide compassionate, collaborative care to patients across Southeast Wisconsin.GI Associates provides an excellent work-life balance and amazing benefits package including:
  • No weekends
  • No Holidays
  • PTO & paid anniversary day
  • 7% GI Associates retirement contribution & 401(k) plan
  • Medical, dental & vision insurance
  • Flexible spending plan
  • Short- & long-term disability
  • Basic & supplemental life insurance

Position summary:The Medical Group Revenue Cycle Analyst has the unique opportunity to contribute to a positive work environment working in an independent capacity amongst a team of coworkers working collaboratively. The primary responsibility for this position is to expedite clean claim and rebill submissions and strong follow up efforts to secure payer reimbursement.
Position Responsibilities:· Prepares and submits clean claims to various insurance companies either electronically or by paper· Researches and resolves claim holds and denialsWorks with patients to obtain current and accurate insurance information· Contacts insurance regarding claim status, denials, underpayments, and recoupments· Research and resolve outstanding claim issues and patterns· Submit Appeals for Denied Claims· Submit Medical Records and other documentation requests to insurance· Contacts insurance companies to ensure that payment is made in a timely fashion regarding unpaid account balances.· Responsible for maintaining adequate accounts receivable procedures in accordance with all law and policy and procedures· Contacts patients or physician offices to obtain information for correct billing· Contacts patients when needed to get claims processed.· Ability to work with payors to resolve incorrect payments· Completes appeals in a timely manner· Able to read Explanation of Benefits· Answers billing office phones· All other duties as assignedMinimum Qualifications:
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
  • One year minimum billing and /or medical office experience
  • Able to prioritize workload to optimize efficiency and meet deadlines
  • Able to work independently
  • Good Written Communication Skills
  • Attention to accuracy and detail critical in position
  • Computer skills
  • CPT & ICD Coding helpful

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